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Louisiana rates for HCPCS A6233

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.37 / $18.94 / $18.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $18.94 / $21.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.32 / $39.84 / $56.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $16.61 / $16.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.17 / $14.17 / $14.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.04 / $12.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $12.72 / $18.98